1-Scan_0126.pdf

This document is an Affirmation and Disclosure Form related to a state contract, completed by Tugs Auto Works Towing, Inc. located in Milford, OH 45150. The form appears to be associated with Executive Order 2022-02D, which places restrictions on services performed in Russia, and requires contractors to disclose their business locations and service performance sites.

The form indicates that Tugs Auto Works Towing, Inc. will perform services at their primary business address of 1339 US 50 in Milford, Ohio, with all state data to be located at the same address. The contractor affirms compliance with executive order requirements, specifically prohibiting the performance of contract services in Russia. The document was signed by the company president on April 11, 2025, and serves as a formal disclosure of the contractor's business locations and commitment to contractual obligations.